Provider Demographics
NPI:1457479420
Name:PROGRESSIVE INSTITUTE OF ALLERGY, INC.
Entity Type:Organization
Organization Name:PROGRESSIVE INSTITUTE OF ALLERGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FROELICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-485-1958
Mailing Address - Street 1:PO BOX 301046
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-4546
Mailing Address - Country:US
Mailing Address - Phone:773-485-1958
Mailing Address - Fax:773-427-7865
Practice Address - Street 1:5351 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-3627
Practice Address - Country:US
Practice Address - Phone:773-485-1958
Practice Address - Fax:773-427-7865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty